Lawmakers question integrity of North Carolina Medicaid system during hearing
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Published on April 16, 2026.
A North Carolina House committee is holding a hearing to question the integrity of the state's Medicaid system. The committee has asked Attorney General Jeff Jackson and the secretary of the North Carolina Department of Health and Human Services (NCDHHS) to explain their actions to prevent fraud, waste, and abuse within the program. This hearing comes amid an ongoing dispute over the "Medicaid rebase" which state health officials and Governor Roy Cooper are seeking to address a Medicaid shortfall while North Carolina operates without a new state budget. Some lawmakers argue that the numbers presented by the administration do not add up. Additionally, Jackson highlighted legal limitations on pursuing Medicaid fraud cases, stating that federal law prevents his office from pursuing individual Medicaid beneficiaries.
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